| NPI | 1679278949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELLE CLERMONT KANNEH Executive Director 612-709-3880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 310400000X Assisted Living Facility | |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| Enumeration Date | 2023-04-04 |
| Last Update Date | 2023-04-04 |